Dear Sir/Madam, - chp.gov.hk · DHF is a severe and potentially fatal complication of dengue fever. Initially, the features include high fever, which lasts 2 – 7 days and can be

We build a healthy Hong Kong and

aspire to be an internationally renowned public health authority

香 港特 別行政 區政府

衞 生 署

香港灣仔皇后大道東 213 號

胡忠大廈 17 樓及 21 樓

THE GOVERNMENT OF THE HONG KONG

SPECIAL ADMINISTRATIVE REGION

DEPARTMENT OF HEALTH

WU CHUNG HOUSE, 17TH & 21ST FLOORS,

213 QUEEN’S ROAD EAST,

WANCHAI, HONG KONG

本署檔號 Our Ref.:

來函檔號 Your Ref.:

電 話 Tel.: (852) 2835 1822

圖文傳真 Fax: (852)

3 June 2015

Dear Sir/Madam,

Middle East Respiratory Syndrome and Local Dengue Fever Case

We would like to provide updates about the Middle East Respiratory Syndrome

(MERS) situation and the local dengue fever case confirmed on 2 June 2015, and appeal

for your support in promoting the health messages about prevention of both diseases.

MERS

As of 3 June, 29 MERS cases had been reported by Korea. In addition, there

was one case exported from Korea to Huizhou, Guangdong.

A few cases recently reported by the health authority of Korea did not have direct

contact with the index and could be regarded as tertiary cases.

In view of this evolving situation in Korea, the public is advised to avoid

unnecessary visit to all healthcare facilities in Korea.

With regard to the first MERS case exported from Korea to Mainland China,

epidemiological investigations and contact tracing are ongoing. The Department of

Health (DH) has enhanced its surveillance mechanism with public and private hospitals,

practising doctors and at boundary control points; and would maintain close

communication with the World Health Organization (WHO) and the relevant health

authorities.

DH is also closely monitoring the situation about additional cases of MERS

reported to the WHO by the Kingdom of Saudi Arabia (KSA) and Qatar on 1 June.

We build a healthy Hong Kong and

aspire to be an internationally renowned public health authority

- 2 -

According to the WHO, among the recently exported cases who reported

performing Umrah in the KSA, investigation revealed that they had either visited a

health-care facility or had come into contact with camels or raw camel products while in

the KSA. Scientific evidence supports the premise that camels are the primary source of

MERS-CoV resulting in human infection. A study further suggested that human

MERS-CoV infections could occur through close contact with infected camels.

Travellers are reminded to take heed of personal, food and environmental

hygiene:

Avoid going to farms, barns or markets with camels;

Avoid contact with animals (especially camels), birds, poultry or sick

people during travel;

Wash hands regularly before and after touching animals in case of visits

to farms or barns;

Do not consume raw or undercooked animal products, including milk

and meat, or foods which may be contaminated by animal secretions,

excretions (such as urine) or products, unless they have been properly

cooked, washed or peeled;

Seek medical consultation immediately if feeling unwell;

Avoid visits to health-care settings with MERS patients;

Wash hands before touching the eyes, nose and mouth, and after

sneezing, coughing or cleaning the nose; and

Wash hands before eating or handling food, and after using the toilet.

Dengue Fever

The Centre for Health Protection (CHP) of DH announced on 2 June that a local

case of dengue fever was confirmed. The male patient, aged 58 with good past health,

lives in Grandway Garden, Sha Tin, New Territories and worked at Cheung Hing Mansion,

15 Cheung Wong Road, Prince Edward, Kowloon. He recalled frequent mosquito bites

near his residence. He had no travel history outside Hong Kong within the month

before onset of symptoms.

We build a healthy Hong Kong and

aspire to be an internationally renowned public health authority

- 3 -

Upon notification and laboratory confirmation, the CHP immediately

commenced epidemiological investigations and promptly informed the FEHD for vector

investigation and mosquito control. The relevant management offices and District

Offices under the Home Affairs Department have also been informed for corresponding

follow-up. The Interdepartmental Coordinating Committee on Mosquito-borne Diseases

will convene an urgent meeting this week to follow up on the case as well as local

prevention and control measures.

Relevant press release issued by the DH on 2 June is accessible at

http://www.chp.gov.hk/en/view_content/39835.html.

Dengue viruses encompass four different serotypes. The symptoms of first

infection with one are usually mild, but subsequent infections with the others are more

likely to result in a serious complication, namely dengue haemorrhagic fever (DHF).

DHF is a severe and potentially fatal complication. Without proper treatment, the DHF

case fatality rate can exceed 20 per cent.

The incubation period of dengue fever ranges from three to 14 days, commonly

four to seven days. Anyone feeling unwell after returning from a trip should seek medical

advice as soon as possible and provide travel details to their doctors.

Members of the public should take measures to protect themselves against

mosquito bites, prevent the accumulation of stagnant water and maintain good

environmental hygiene to remove breeding sites.

A copy of the leaflet on dengue fever is attached.

The public may also visit websites below for more information:

The CHP Website (http://www.chp.gov.hk)

The CHP Facebook Page

(http://www.facebook.com/CentreforHealthProtection);

The CHP YouTube Channel

(http://www.youtube.com/c/ChpGovHkChannel)

Travel Health Service of DH (http://www.travelhealth.gov.hk)

The FEHD's Guidebook on Control and Prevention of Mosquito Breeding

(http://www.fehd.gov.hk/tc_chi/safefood/handbook_prev_mos_breeding.html).

We build a healthy Hong Kong and

aspire to be an internationally renowned public health authority

- 4 -

We would like to call on your support to disseminate and promote the health

messages on prevention of MERS and dengue fever and mobilise your colleagues, work

associates and business partners to sustain the anti-mosquito efforts.

If you would like to request health educational materials related to MERS and

dengue fever, please complete the form attached and return to us.

Thank you for your support.

Yours faithfully,

(Dr Anne FUNG)

for Director of Health

Encl.

Dengue fever is transmitted to humans through thebites of infective female Aedes mosquitoes. Whena patient suffering from dengue fever is bitten by avector mosquito, the mosquito is infected and itmay spread disease by biting other people. It cannot be directly from human to human. In Hong Kong, the principal vector Aedes aegypti is not found, but the prevailing species Aedes albopictus can also spread the disease.

Protect ourselves from mosquito bites Wear loose, light-coloured long-sleeved tops and trousers Use DEET-containing insect repellent on exposed parts of the body and clothingTake additional preventive measures when going outdoor activities: Avoid using fragrant cosmetics or skin care products Re-apply insect repellents according to instructionsSpecial notes when travelling abroad Before the trip, arrange a travel health consultationwith your doctor at least 6 weeks before the journey for any extra mosquito bite preventive measures During the trip, if travelling in endemicrural areas, carry a portable bednet and apply permethrin (an insecticide) on it.Permethrin should NOT be applied to skin. Seek medical attention as early as possible if feeling unwell Travellers who return from affected areas and feel unwell e.g. run a fever, should seek medical advice as soon as possible, and provide travel details totheir doctor

Help prevent mosquito proliferationPrevent the accumulation of stagnant waterControl vectors and reservoir of the diseasesIf you notice any mosquito breeding sites in public

places, you may call the Food and Environmental

Hygiene Department Hotline at 2868 0000.

Acknowledgement : Complimentary picture of Aedes albopictus by the Food and Environmental Hygiene Department.

Centre for Health Protection Website: www.chp.gov.hk24-Hour Health Education Hotline of the Department of Health: 2833 0111

3 – 14 days commonly 4 – 7 days

At present, no effective vaccine for denguefever is available. Therefore, the best preventive measure is to protect ourselves frommosquito bites and eliminate pockets of stagnant water that serve as sites of mosquito breeding.

Causative agent

Dengue fever is clinically characterised by suddenonset of high fever, severe headache, pain behindthe eyes, muscle and joint pains, loss of appetite,nausea and rash.

DHF is a severe and potentially fatal complication of dengue fever. Initially, the features include highfever, which lasts 2 – 7 days and can be as high as 40 – 41oC, facial flush and other non-specific constitutional symptoms of dengue fever. Later, it may be followed by the manifestation of bleedingtendency such as skin bruises, nose or gumbleeding, and possibly internal bleeding. In severecases, it may progress to circulatory failure, shock and death.

Immunity is attained against that serotype after recovery from its infection. However, no effective protection is conferred against subsequent infection by the other 3 serotypes.

Clinical features

There is no specific medication fordengue fever or DHF. Dengue fever ismostly self-limiting. Symptomatic treatment is given to relieve discomfort.Patients with DHF should be treatedpromptly with supportive management.The mainstay of the treatment is tomaintain the circulating fluid volume. With appropriate and timely treatment,mortalty rate should be less than 1%.

Produced in March 2015

Mode of transmission

Incubation period

Management

Prevention General Measures on Preventing Mosquito - borne DiseasesDengue fever is an acute mosquito-borne infection

caused by the dengue viruses. This is found in tropical and sub-tropical regions around the world. For instance, dengue fever is an endemic illness in many countries in South East Asia. The dengue viruses encompass 4 different serotypes, each of which can lead to dengue fever and dengue haemorrhagic fever (DHF).

Request Form for Publicity and Health Education Materials

on Dengue Fever and Middle East Respiratory Syndrome (MERS) 有關登革熱及中東呼吸綜合症的宣傳及健康教育教材索取表格

Please put a tick「」in the appropriate box to indicate your choice of office for collection and return the completed form by post, fax or

email to the collection office chosen.

請在適當空格內加上「」以選擇領取教材的辦事處，並把填妥的表格以郵寄、傳真或電郵方式交回所選的領取教材辦事處。

Mode of Collection

領取方法

Postal and Email Addresses of Collection Office

領取教材辦事處地址及電郵

Tel No.

電話號碼

Fax No.

傳真號碼

Central Health Education Unit, Department of Health,

7/F, Southorn Centre, 130 Hennessy Road, Wanchai, HK

香港灣仔軒尼詩道130號修頓中心7字樓

衞生署中央健康教育組

[email protected]

2572 1476 2591 6127

Tsuen Wan Health Education Centre, Department of Health

13/F, Tsuen Wan Government Office,

38 Sai Lau Kok Road, Tsuen Wan, NT

新界荃灣西樓角路38號荃灣政府合署13樓

衞生署荃灣健康教育中心

[email protected]

2417 6505 2498 3520

Staff of the collection office concerned will inform you of the date of collection upon receipt of your request form.

相關領取教材辦事處的職員會在收到你的索取表格後通知你領取日期。

Notes to Applicants 申請者須知：

1. The Department of Health (DH) reserves the right to decide on the quantity of materials provided.

衞生署保留決定所提供教材數量的權利。

2. No duplication or extraction is allowed for any materials provided without authorisation.

未經授權，不可複製或擷取教材內容。

3. All applied materials can only be used for non-profit making purpose.

所有索取所得的教材只可作非牟利用途。

4. Should you have any enquiries, please contact staff of the relevant collection offices.

如有查詢，請與相關的領取教材辦事處職員聯絡。

Description

教材介紹

Language

語言

Requested Quantity

所需數量

Note: Full version of the corresponding materials can be viewed on the webpages of the World Health Day 2014 and MERS of the DH at www.chp.gov.hk/whd and http://www.chp.gov.hk/en/view_content/26511.html.

註：相關教材的內容可在衞生署的世界衞生日 2014（www.chp.gov.hk/whd）及中東呼吸綜合症（http://www.chp.gov.hk/tc/view_content/26511.html）的主題網站瀏覽。

Dengue Fever 登革熱

Pamphlet 單張

Beware of stings Protect ourselves from

vector-borne diseases (A5)

慎防一「叮」 防蚊防蟲我至醒 (A5)

English

英文 Copies/張

Chinese

中文 Copies/張

Dengue Fever (99mm x 210 mm)

登革熱 (99mm x 210 mm) Bilingual

雙語 Copies/張

Poster 海報

Beware of stings Protect ourselves from

vector-borne

diseases (A2)

慎防一「叮」 防蚊防蟲我至醒 (A2)

Bilingual

雙語 Copies/張

To Prevent Mosquito-borne Diseases (A2)

預防蚊子傳播的疾病 (A2) Bilingual

雙語 Copies/張

Description

教材介紹

Language

語言

Requested Quantity

所需數量

Videos(in DVD) 短片（DVD 光碟） (Duration

片長)

1. Prevent vector-borne diseases, safeguard our health

預防蚊蟲疾病 保障健康有計 (1:31)

Cantonese

voice-over with

bilingual subtitles

廣東話配音

中英文字幕

sets

套

2. Take indoor precaution, enjoy a vector-free environment

室內措施做到足 享受無蚊蟲空間 (0:57)

3. Take preventive measures against vectors, enjoy safe outing

緊記防蚊蟲攻略 郊遊安心樂悠悠 (1:15)

4. Prevent bites and stings during travel, have a nice trip

出外旅遊防蚊蟲 玩得開心又放心 (0:53)

5. Smart tips for driving vectors away

智醒心得 驅趕蚊蟲至駛得 (1:06)

Announcements in the Public Interests （API） 政府宣傳片段

Prevention of Mosquito Bites (TV API) Duration 30 seconds

戶外防蚊措施 （政府電視宣傳影片） 片長:30 秒

http://www.chp.gov.hk/en/view_content/33592.html

[Distributed by email/CD-rom 以電郵或光碟方式傳送]

Video 影片

Format 製式:

MP4/WMV/AVI

Cantonese/ English

voiceover with subtitles

廣東話／英語連字幕

# Required / Not Required

# 需要 / 不需要

Please provide email

address

請填寫電郵地址

Prevent Dengue Fever (TV API) Duration 30 seconds

預防登革熱病（政府電視宣傳影片） 片長:30 秒

http://www.chp.gov.hk/en/view_content/33592.html

[Distributed by email/CD-rom 以電郵或光碟方式傳送]

Video 影片

Format 製式:

MP4/WMV/AVI

Cantonese/ English

voiceover with subtitles

廣東話／英語連字幕

# Required / Not Required

# 需要 / 不需要

Please provide email

address

請填寫電郵地址

Middle East Respiratory Syndrome 中東呼吸綜合症

Pamphlet 單張

Middle East Respiratory Syndrome (99mm x 210 mm)

中東呼吸綜合症 (99mm x 210 mm)

English

英文 Copies/張

Chinese

中文 Copies/張

Hand Hygiene An easy and effective way to prevent

infection (99mm x 210 mm)

潔手 - 一個既簡單且有效預防感染的方法(99mm x 210 mm)

Bilingual

雙語

C

Copies/張

Use Mask Properly Protect ourselves and protect others

(99mm x 210 mm)

正確使用口罩 護己護人(99mm x 210 mm)

Bilingual

雙語

C

Copies/張

Poster 海報

Guard against Middle East Respiratory Syndrome (A2)

預防中東呼吸綜合症 (A2)

English

英文 Copies/張

Chinese

中文 Copies/張

Hindi, Urdu, Nepali

印度文, 巴基斯坦文,

尼泊爾文

Copies/張

Bahasa Indonesia, Arabic

印尼文, 阿拉伯文 Copies/張

Don't let your hands spread germs (A2)

不要讓雙手變成傳染病幕後黑手 (A2)

Bilingual

雙語 Copies/張

Add soap Rub hands for 20 seconds: Step for hand washing

(A2)

加入梘液 搓手 20 秒：搓手步驟 (A2)

Bilingual

雙語 Copies/張

Description

教材介紹

Language

語言

Requested Quantity

所需數量

Poster 海報

Mind Your Hands! (A2)

小心雙手! (A2)

Bilingual

雙語 Copies/張

Guard Against Infections Always Wash Your Hands(A2)

勤洗手 別做傳染病「幕後黑手」(A2)

Bilingual

雙語 Copies/張

Maintain Cough Manners (A2)

咳嗽要講禮 (A2)

Bilingual

雙語 Copies/張

Add soap Rub hands for 20 seconds (A2)

加入梘液 搓手 20 秒 (A2)

Bilingual

雙語 Copies/張

When to Wash Our Hands (A2)

何時應洗手 (A2)

Bilingual

雙語 Copies/張

5 Steps For Proper Hand Washing(A2)

正確洗手五部曲 (A2)

Bilingual

雙語 Copies/張

#

Contact person

聯絡人 Signature 簽署

Name of

Organisation

機構名稱

Telephone No.

電話號碼

Fax No. 傳真號碼

E-mail address

電郵地址 Date 日期